Name:

Age:

 
How many times have you eaten Rat Stomachs?
Have you ever kicked a piano?
How many times a day do you act stupid?
Do you consider yourself sane?
Has anyone ever said you ain't right?
Do you think of yourself as normal?
Have you ever eaten hot chocolate with a fork?
Do you save your belly button lint?
Do you watch television with your eyes shut?
What is your IQ level?
Do you like girls with braided armpits?
Would you own a three legged dog?